Evidence map›Paper›PMID 39731632›Full record

ArticleAnnals of medicine2025

Assessing the impact of clerkships on the growth of clinical knowledge.

Chi Chang, Heather S Laird-Fick, John D Mitchell, Carol Parker, David Solomon

Abstract read
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chi ChangOffice of Medical Education Research and Development, and Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA.ORCID 0000-0002-2106-2476
Heather S Laird-FickDepartment of Medicine, College of Human Medicine, Michigan State University, East Lansing, MI, USA.ORCID 0000-0001-9215-8152
John D MitchellDepartment of Anesthesiology, Pain Management, and Perioperative Medicine, Henry Ford Health System, Detroit, MI, USA.ORCID 0000-0001-6087-5210
Carol ParkerOffice of Medical Education Research and Development, College of Human Medicine, Michigan State University, East Lansing, MI, USA.ORCID 0000-0003-4934-4325
David SolomonDepartment of Medicine, Office of Medical Education Research and Development, College of Human Medicine, Michigan State University, East Lansing, MI, USA.ORCID 0000-0002-3130-5240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study quantified the impact of clinical clerkships on medical students' disciplinary knowledge using the Comprehensive Clinical Science Examination (CCSE) as a formative assessment tool.

methodsThis study involved 155 third-year medical students in the College of Human Medicine at Michigan State University who matriculated in 2016. Disciplinary scores on their individual Comprehensive Clinical Science Examination reports were extracted by digitizing the bar charts using image processing techniques. Segmented regression analysis was used to quantify the differences in disciplinary knowledge before, during, and after clerkships in five disciplines: surgery, internal medicine, psychiatry, pediatrics, and obstetrics and gynecology (ob/gyn).

resultsA comparison of the regression intercepts before and during their clerkships revealed that, on average, the participants improved the most in ob/gyn (

conclusionsThese findings highlight how clerkships influence the acquisition of disciplinary knowledge, offering valuable insights for curriculum design and assessment. This approach can be adapted to evaluate the effectiveness of other curricular activities, such as tutoring or intersessions. The results have significant implications for educators revising clerkship content and for students preparing for the United States Medical Licensing Examination Step 2.

Indexed as

Clinical ClerkshipClinical CompetenceEducational MeasurementStudents, MedicalAdultEducation, Medical, UndergraduateFemaleGynecologyHumansInternal MedicineMaleMichiganObstetricsPsychiatryclinical knowledgeDisciplinary clerkshipslongitudinal assessmentprogress examinationsegmented regression

Identifiers

PMID39731632
PMCPMC11703539

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.